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Parcel 032-1003-50-000 04/04/2006 03:33 PM
PAGE 1 OF 1
Alt. Parcel 2.31.19.198 032 - TOWN OF SOMERSET
Current X ST. CROIX COUNTY, WISCONSIN
Creation Date Historical Date Map # Sales Area Application # Permit # Permit Type
00 0
Tax Address: Owner(s): O = Current Owner, C = Current Co-Owner
O - BREURE, LEONARD & DIANA
LEONARD & DIANA BREURE
2371 65TH ST
NEW RICHMOND WI 54017
Districts: SC = School SP = Special Property Address(es): * = Primary
Type Dist # Description * 2371 65TH ST
SC 4165 SCH D OF OSCEOLA
SP 1700 WITC
Legal Description: Acres: 3.480 Plat: N/A-NOT AVAILABLE
SEC 2 T31 N R1 9W 3.48A IN SW NE LOT 1 CSM Block/Condo Bldg:
VOL 3/721
Tract(s): (Sec-Twn-Rng 401/4 1601/4)
02-31N-19W
Notes: Parcel History:
Date Doc # Vol/Page Type
05/21/1998 579538 1325/220 WD
2005 SUMMARY Bill Fair Market Value: Assessed with:
76557 207,300
Valuations: Last Changed: 07/22/2003
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 3.480 50,400 116,400 166,800 NO
Totals for 2005:
General Property 3.480 50,400 116,400 166,800
Woodland 0.000 0 0
Totals for 2004:
General Property 3.480 50,400 116,400 166,800
Woodland 0.000 0 0
Lottery Credit: Claim Count: 1 Certification Date: Batch 133
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
A$ BUILT PLAN OF SANITARY SYSTEM
POf. COUNTY
SEPTIC TANK PERMIT # (1
Ol4NER c^ fit =..t`' - - ADDRESS 1Ct Y rr_~\' r{r~t.d~( ~ - _ZIP_ • ' i
Z4 ~Town .31 N, RANGE-&W
LOCATION OF SYSTEM: Jtr of Section_
Gov. Lot # - , Lot # - Subdivision_ _ _ _ _ _ _ _ _ _ _ _ _ _
PLAN VIEW
Distances & Dimensions to meet Requirements of I162.20(1)(d)(2)
SHOW EVERYTHING WITHIN 100 FEET OF SYSTEM
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
n
v
~ d
a1 p
J
l~
- _
SEPTIC TANK: Concrete Steel Mfgr. ("W--we .-I epth to manhole
SOIL ABSORPTION SYSTEM: Drywell_Depth Inside Dia. Depth Below Inlet
TRENCHES, No. of Width Length Areal Depth to Pipe
BED, No. of Lines Width V;; ' Length,. ~ Area_LZILDepth to Pipe
ni
AGGREGATE, --Inches Area Requiredi / AREA AS BUilt
. v
DISCLAIMER: The inspection of this system by County does not imply complete
compliance with State Administrative Codes. There ~~e~ot,V areas that it is not
possible to inspect at this point of construction. ~~g County assumes.no liabil-
ity for system operation. However, if failure is noted, the county will make
every effort to determine cause of failure. GREASES AND OILS SHOULD NOT BE DIS-
POSED OF THROUGH THIS SYSTEM!!!
PLUMBER ON JOB LICENSE _3G77
INSPECTOR
6 ,
z
REPORT OF INSPECTION INDIVIDUAL SEWAGE SYSTEM
Sanitah.y Penmti ';~s:
State Septic
NAME { F Town.6hip St. CAOtix County
Lvca ~ on=)1, % o ~j< < Section T,,~ N, R E`) W
SEPTIC TANK
Size gattonz. Numbers o6 CompaAtmentz
Di.s Lance FAOm: W ett it. 12% vA gAeateA 6to pe it
Building it. Wettands it.
HighwateA it.
DISPOSAL SYSTEM
Distance FAOm: Wett it. 12% vA gAeateA zZope it.
Building it. Wetkands Ft.
HighwateA it.
FIELD DIMENSIONS:
Width o j tAench it. Depth o6 )Lock below tite in.
Length ob each Une it. Depth o4 Aock oveA tite in.
NumbvL of Una Depth o6 tite be.Lvw grade in.
TotaZ .length o j Zines it. Sto pe o4 tAench in pen 100 it.
Di.6 Lance between Zinez it. Depth to b edAO ck it.
Totat absoAbtion vLea 6t2 Depth to gkoundwateA it.
Requi. Led aAea it 2
PIT DIMENSIONS:
NumbeA o6 pitz GAavet around pith yeas no
Outside diameteA it. Depth below inlet it.
2
Totat ab6mbtion aAea it A
AAea Requited it2 n,
INSPECTED By TITLE
APPROVED DATE 197.
REJECTED DATE 197.
Y
PLB67 State and County State Permit #
Permit Application County Permit #~r-
for Private Domestic Sewage Systems County
*DENOTES STATE APPROVAL REQUIRED
Date Approval Received from State if Required State Plan I.D. #
A. OWNER OF PROPERTY Mailing Address:
B. LOCATION:r~ Section T { N, R ) Ear{; Lot# City
Subdivision Name, nearest road, lake or landmark Blk# Village
Township
C. TYPE OF OCCUPANCY: *Commercial *Industrial *Other (specify) *Variance
Single family t/ Duplex No. of Bedrooms No. of Persons
D. TYPE OF APPLIANCES: Dishwasher YES NO Food Waste Grinder YES NO # of Bathrooms--
Automatic Washer YES NO Other (specify)
E. SEPTIC TANK CAPACITY Total gallons No. of tanks
*Holding tank capacity Total gallons No. of tanks
New Installation ~ -Addition Replacement- Prefab Concrete
*Poured in Place Steel Other (specify)
F. EFFLUEIy,T DISPOSAL SYSTEM: Percolation Rate 1) 2) 3) Z, Total Absorb Area sq. ft.
New Addition Replacement *Fill System
Seepage Trench: No. Lin. Feet Width Depth Tile Depth No. of Trenches
Seepage Bed: Length Width 1~2 Depth ° Tile Depth _ No. of Lines
Seepage Pit: Inside diameteer~ Liquid Depth Tile Size
Percent slope of land 7 C 1!/ c+ttN~f'~E 7`~R Distance from critical slope 1, the undersigned, do hereby certify that the information I have reported
is in accord with Section H62.20,
':^V'isconsin Administrative Code, and that I have sized the effluent disposal system from the EH-115 prepared
.by the C ied Soil T er,
NAME ~ e" jr-, C.S.T. # and other information
obtained from WV ' (owner/builder). 40 P'lumber's Signature 10 MPRSW#Phone #q~ -
Plumber's Address
j a/-
PLAN VIEW: Provide sketch below of system (include direction of slope and all distances in accord with
I H62.20, including well).
I 1
T,
M~~
il:}f
ca !~J g
Sn C Sz~fit
Do Not Write in Space elo FOR DEPARTMENT U ONLY E
Date of lication w Fes Paid: State j County to 76
ate) 1 Issuing Agent Name
rmit Issued/ ejecte (gate)'
Inspection Yes No Valid# Date Recd _
1. county (w ite copy) 3. owner (green copy) DIVISION OF HEALTH, P.O. BOX 309, MADISON, WI 53701
2. state (pink copy) 4. plumber (canary copy)
Revised Date 6/1 /76
EH 115
WISCONSIN DEPARTMENT OF HEALTH AND SOCIAL SERVICES
•DIVFSION OF HEALTH, BUREAU OF ENVIRONMENTAL HEALTH
P.O. BOX 309
MADISON, WISCONSIN 53701
REPORT ON SOIL BORINGS AND PERCOLATION TESTS
yp rr
LOCATION: -~~'/4, Section ~ , Td N, R) W, Township or Municipality ~d l~sJ
Lot No. Block No. Subdivision Name County "S
J-0 14*i
Owner's Name:
Of
p~ Mailing Address:` 7 L
TYPE OF OCCUPANCY: Residence No. of Bedrooms Other -
EFFLUENT DISPOSAL SYSTEM: NEW -ADDITION REPLACEMENT -
DATES OBSERVATIONS MADE: SOIL BORINGS f_ ' o PERC LATION TESTS
SOIL MAP SHEET Solt- TYPE
PERCOLATION TESTS _
TEST DEPTH SOIL HOURS WATER IN TEST TIME DROP IN WATER LEVEL, INCHES RAT.
CHARACTER OF
! NUM - INCHES THICKNESS IN INCHES SINCE HOLE HOLE AFTER INTERVAL MIN/IN
1ST WETTED SWELLING IN MINUTES PERIOD 1 PERIOD 2 PERIOD 3
P-
y~ I
P- 3 43
SOIL BORING TESTS
TEST TOTAL DEPTH DEPTH TO GROUNDWATER, INCHES CHARACTER OF SOIL WITH THICKNESS, INCHES
NUMBER INCHES OBSERVED ESTIMATED HIGHEST (DEPTH TO BEDROCK IF OBSERVED)
~ eRf 5
B 8gr( ~n$ !e SRM t AS
I_AN VIEW (Locate percolation tests,soi I bore holes and suitable soil areas.)
ciicate on the plan the location and square fee of uitable areas. Ind' to number of square feet of ab::,r I.:tion area
needed for building type and occupancy. d d. R ',v 15! ~0> - - Indicate scale
cr distances. Give horizontal and vertical reference points. Indicate slope.
1
F t? A 'j L -D 1
fAl Ad
x 9t~--0~
I ' N
6 14
77
{
1, the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the procedures
and methods specified in the Wisconsin Administrative Code, and that the data recorded and location of test holes are correct
to the best of my
knowledge and belief. p
'7 -7
Name (print) 1 kAf ht F,+~ r t /a Certification No.
le;
Address 9- t l
'e, LAU
Name of installer if known p
CST Signature"